Active NPI
Compassionate Community Physicians PC
- Internal Medicine Physician
- Forest Hills, NY
National Provider Identifier
1003441429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- COMPASSIONATE COMMUNITY PHYSICIANS PC
- Practice address
- 6861 Yellowstone Blvd Apt 116
Forest Hills, NY 11375-3371 - Phone
- (347) 689-8880
- NPI assigned
- Mar 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ilya Kleyn, MD
- Title
- MD
- Phone
- (347) 689-8880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
6861 Yellowstone Blvd Apt 116
Forest Hills, NY 11375-3371
Mailing address
6861 Yellowstone Blvd Apt 116
Forest Hills, NY 11375-3371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1131 Jericho Tpke
Commack, NY 11725
300 W Hills Rd
Huntington Station, NY 11746
Phone (631) 629-8708
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- New York, NY
- NPI 1851327092
-
- Family Medicine Physician
- Forest Hills, NY
- NPI 1477636389
-
- Family Nurse Practitioner
- Forest Hills, NY
- NPI 1770435265
-
- Family Nurse Practitioner
- Manhasset, NY
- NPI 1093398836
-
- Adult Health Nurse Practitioner
- Forest Hills, NY
- NPI 1497980866
-
- Registered Nurse
- New Hyde Park, NY
- NPI 1871798926
-
- Family Nurse Practitioner
- Forest Hills, NY
- NPI 1689115065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583366400000",
"number": "1003441429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6861 YELLOWSTONE BLVD APT 116",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6861 YELLOWSTONE BLVD APT 116",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753371",
"telephone_number": "347-689-8880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE COMMUNITY PHYSICIANS PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-05",
"last_updated": "2020-03-05",
"certification_date": "2020-03-05",
"status": "A",
"authorized_official_last_name": "KLEYN",
"authorized_official_first_name": "ILYA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "347-689-8880",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.